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[Enterocolic fistula due to foreign body perforation]
G Jüngling1, V Wiessner, C Gebhardt
16. Medizinische Klinik, Klinikum Nürnberg-Nord.
Deutsche Medizinische Wochenschrift (1946)
|January 21, 1994
Summary
A young man experienced severe abdominal pain and weight loss due to an intestinal blockage. Doctors discovered a large mass caused by an ingested plastic bottle cap, leading to surgical removal.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Intestinal obstruction is a common surgical emergency.
- Foreign body ingestion can lead to severe gastrointestinal complications.
Observation:
- A 26-year-old male presented with acute diarrhea, abdominal pain, and significant weight loss.
- Imaging revealed a large, abnormal mass in the left colic flexure with signs of inflammation and a fistula between the sigmoid and descending colon.
Findings:
- Surgical exploration identified an 18 cm tumorous mass.
- Histopathology confirmed the mass was caused by a plastic foreign body (household cleaner bottle cap) occluding an intestinal loop.
- The patient did not disclose the ingestion circumstances.
Implications:
- This case highlights the critical diagnostic role of imaging and endoscopy in identifying unusual causes of intestinal obstruction.
- Foreign body ingestion, even of seemingly innocuous items, can necessitate extensive surgical intervention.
- The etiology of foreign body ingestion in adults remains complex and often involves non-disclosure.